John J Geiser O.D.
Eyewear Supplier (Equipment, not the service) in Lacon, IL. Organization (NPI-2).
NPI number1508043290
StatusActive
Last updated in NPPESApr 25, 2024
Details
- NPI
- 1508043290
- Entity type
- Organization (NPI-2)
- Legal business name
- John J Geiser O.D.
- Organization subpart
- No
- Enumeration date
- Jan 25, 2008
- Certification date
- Apr 25, 2024
- Last updated
- Apr 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | 046006796 | IL | Yes |
| 152W00000X | Optometrist | – | – |
Other names
- Lacon Eye Clinic (Other Name)
Practice location
114 5th StLacon, IL 61540-1206
Phone 309-246-8177
Mailing address
114 5th StLacon, IL 61540-1206
Phone 309-246-8177
Authorized official
Jennifer L Chirchirillo
Office Manager
3092468177
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